Adams Realtor Run for the Park
August 30, 2008
Atlanta, GA

OFFICIAL ENTRY FORM – PLEASE PRINT

Please Print All Requested Information:

_______________________________________________________________
Name

_______________________________________________________________
Team Name

________________________________ _________________ ____ ________________
Address.................................................... City................. State.............. Zip Code

________________________________ _______________________________________
Email........................................................ Phone Number

Age______ Male_____ Female_____ 5K_____ Tot Trot_____

Adult T-shirt size: (Circle one)....S....M....L....XL..........Child T-shirt size: (Circle one)....M....L

WAIVER: In consideration of acceptance of this Entry Form, I waive any and all claims for myself and my heirs against the event sponsors,
Adams Realtors, Road Race Services, City of Atlanta, and officials/promoters of the event. I state that I am in proper physical condition to participate.

Signed: _____________________________________ Date: __________________________

Return completed ENTRY FORM and check made payable to Summer Shade Festival.

Mail to:
Summer Shade Festival,
c/o Adams Realtors,
458 Cherokee Avenue SE
Atlanta, GA 30312 .